Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $77.05 / $1,444.92	Facility		$39.31	$77.05	$1,444.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $59.24 / $133.12	Professional		$39.31	$59.24	$133.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,382.00 / $4,707.00	Facility		$1,691.00	$3,382.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $64.94 / $147.03	Professional		$47.67	$64.94	$147.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $63.71 / $63.71 / $4,050.00	Facility		$63.71	$63.71	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $63.71 / $63.71 / $104.77	Professional		$63.71	$63.71	$104.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.34 / $78.34 / $14,648.00	Facility		$78.34	$78.34	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $80.90 / $173.41	Professional		$42.47	$80.90	$173.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $59.46 / $332.00	Facility		$30.00	$59.46	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $93.50 / $109.19 / $230.95	Professional		$93.50	$109.19	$230.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $74.70 / $147.29	Professional		$55.93	$74.70	$147.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $78.34 / $555.00 / $74,999.25	Facility		$78.34	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $91.13 / $186.92	Professional		$48.76	$91.13	$186.92
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.31 / $84.15 / $184.54	Professional		$49.31	$84.15	$184.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $48.73 / $48.73 / $170.23	Facility		$48.73	$48.73	$170.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $55.82 / $85.57 / $168.28	Professional		$55.82	$85.57	$168.28